Individual provider · Type 1 NPI

Anna Wallace, APRN

Nurse Practitioner · Newark, DE

NPI number 1194483792 Active

Practice location

4755 Ogletown Stanton Rd
Newark, DE 19718-2200

Mailing address

1303 Clifford Rd
Wilmington, DE 19805-1313

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XLP-0010494 (DE)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1194483792

Anna Wallace, APRN's National Provider Identifier is 1194483792, issued on Dec 1, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Newark, DE. The record was last updated on Dec 1, 2021.